The aim of this publication is to provide information about the key differences in healthcare between people with a learning disability and those without. It contains aggregated data on key health issues for people who are recorded by their GP as having a learning disability, and comparative data about a control group who are not recorded by their GP as having a learning disability. Eight new indicators were introduced in the 2023-24 reporting year for patients with and without a recorded learning disability. These relate to: • Patients treated with melatonin • Gender breakdown for attention deficit hyperactivity disorder (ADHD) • Anxiety prevalence Six indicators have been removed from the 2023-24 reporting year relating to: • Kidney disease • Epilepsy • Seizure frequency More information on these changes can be found in the Data Quality section of this publication. Data has been collected from participating practices using EMIS and Cegedim Healthcare Systems GP systems.

Latest monthly statistics on Learning Disabilities and Autism (LDA) patients from the Assuring Transformation (AT) collection and Mental Health Services Data Set (MHSDS). Data on inpatients with learning disabilities and/or autism are being collected both within the AT collection and MHSDS. There are differences in the inpatient figures between the AT and MHSDS data sets and work has been ongoing to better understand these. LDA data from MHSDS are experimental statistics, however, while impacts from the cyber incident are still present they will be considered to be management information. From April 2024, LDA MHSDS data has been collected under MHSDS version 6. From 1 July 2022, Integrated Care Boards were established within Integrated Care Systems data and replaced Sustainability and Transformation Plans (STPs). Clinical Commissioning Groups have been replaced by sub-Integrated Care Boards. Data for the AT collection is now submitted by sub-Integrated Care Boards. This has resulted in some renaming within tables and the inclusion of a new Table 5.1b with a patient breakdown by submitting organisation. Patients by originating organisation and commissioning type are still available in Table 5.1a. Data in the tables are now presented by the current organisational structures. Old organisational structures have been mapped to new structures in any time series. Restraints data for MHSDS August 2024 was added to the 'Learning disability services monthly statistics MHSDS datasets' page on 21st November 2024. This will be available within Tables 15-18 of the updated data tables, as well as within the updated csv file.

Local authorities submit numbers of all persons identified as having a learning disability currently known to the authority and included in a register of records for the purpose of planning or providing services. The register of people with learning disabilities data may be an underestimate of the total number of people with learning disabilities as registration is voluntary.

Labour market status of disabled people, UK, published quarterly, non-seasonally adjusted. Labour Force Survey. These are official statistics in development.

Please read below for full details:

This report presents a new estimate of the prevalence of autism among adults aged 18 years and over. This was derived using data from the 2007 Adult Psychiatric Morbidity Survey (APMS 2007) in combination with data from a new study of the prevalence of autism among adults with learning disabilities, who are a key group to study because they could not take part in the APMS 2007 and have been found to have an increased risk of autism.

The study was based on adults with learning disabilities living in private households and communal care establishments in Leicestershire, Lambeth and Sheffield. Whilst the study comprised a relatively small sample with limited geographical coverage and did not include the institutional population, it did include two non-mutually exclusive populations (people in communal care establishments and people with learning disabilities) which were not covered by the APMS 2007.

The study demonstrates that autism is common among people with a learning disability and, in taking these into account, at 1.1 per cent nationally is slightly higher than the previous estimate of 1.0 per cent in the APMS 2007. Sensitivity analysis showed that the estimates for national prevalence produced by this study were relatively insensitive to inaccuracies caused by the limitations.

This data originates from the Public Health Outcomes tool currently presents data for available indicators for upper tier local authority levels, collated by Public Health England (PHE).

The data currently published here are the baselines for the Public Health Outcomes Framework, together with more recent data where these are available. The baseline period is 2010 or equivalent, unless these data are unavailable or not deemed to be of sufficient quality. The first data were published in this tool as an official statistics release in November 2012. Future official statistics updates will be published as part of a quarterly update cycle in August, November, February and May.

The definition, rationale, source information, and methodology for each indicator can be found within the spreadsheet.

Data included in the spreadsheet:

0.1i - Healthy life expectancy at birth
0.1ii - Life Expectancy at birth
0.1ii - Life Expectancy at 65
0.2i - Slope index of inequality in life expectancy at birth based on national deprivation deciles within England
0.2ii - Number of upper tier local authorities for which the local slope index of inequality in life expectancy (as defined in 0.2iii) has decreased
0.2iii - Slope index of inequality in life expectancy at birth within English local authorities, based on local deprivation deciles within each area
0.2iv - Gap in life expectancy at birth between each local authority and England as a whole
0.2v - Slope index of inequality in healthy life expectancy at birth based on national deprivation deciles within England
1.01i - Children in poverty (all dependent children under 20)
1.01ii - Children in poverty (under 16s)
1.02i - School Readiness: The percentage of children achieving a good level of development at the end of reception
1.02i - School Readiness: The percentage of children with free school meal status achieving a good level of development at the end of reception
1.02ii - School Readiness: The percentage of Year 1 pupils achieving the expected level in the phonics screening check
1.02ii - School Readiness: The percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check
1.03 - Pupil absence
1.04 - First time entrants to the youth justice system
1.05 - 16-18 year olds not in education employment or training
1.06i - Adults with a learning disability who live in stable and appropriate accommodation
1.06ii - % of adults in contact with secondary mental health services who live in stable and appropriate accommodation
1.07 - People in prison who have a mental illness or a significant mental illness
1.08i - Gap in the employment rate between those with a long-term health condition and the overall employment rate
1.08ii - Gap in the employment rate between those with a learning disability and the overall employment rate
1.08iii - Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate
1.09i - Sickness absence - The percentage of employees who had at least one day off in the previous week
1.09ii - Sickness absence - The percent of working days lost due to sickness absence
1.10 - Killed and seriously injured (KSI) casualties on England's roads
1.11 - Domestic Abuse
1.12i - Violent crime (including sexual violence) - hospital admissions for violence
1.12ii - Violent crime (including sexual violence) - violence offences per 1,000 population
1.12iii- Violent crime (including sexual violence) - Rate of sexual offences per 1,000 population
1.13i - Re-offending levels - percentage of offenders who re-offend
1.13ii - Re-offending levels - average number of re-offences per offender
1.14i - The rate of complaints about noise
1.14ii - The percentage of the population exposed to road, rail and air transport noise of 65dB(A) or more, during the daytime
1.14iii - The percentage of the population exposed to road, rail and air transport noise of 55 dB(A) or more during the night-time
1.15i - Statutory homelessness - homelessness acceptances
1.15ii - Statutory homelessness - households in temporary accommodation
1.16 - Utilisation of outdoor space for exercise/health reasons
1.17 - Fuel Poverty
1.18i - Social Isolation: % of adult social care users who have as much social contact as they would like
1.18ii - Social Isolation: % of adult carers who have as much social contact as they would like
1.19i - Older people's perception of community safety - safe in local area during the day
1.19ii - Older people's perception of community safety - safe in local area after dark
1.19iii - Older people's perception of community safety - safe in own home at night
2.01 - Low birth weight of term babies
2.02i - Breastfeeding - Breastfeeding initiation
2.02ii - Breastfeeding - Breastfeeding prevalence at 6-8 weeks after birth
2.03 - Smoking status at time of delivery
2.04 - Under 18 conceptions
2.04 - Under 18 conceptions: conceptions in those aged under 16
2.06i - Excess weight in 4-5 and 10-11 year olds - 4-5 year olds
2.06ii - Excess weight in 4-5 and 10-11 year olds - 10-11 year olds
2.07i - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14 years)
2.07i - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years)
2.07ii - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24)
2.08 - Emotional well-being of looked after children
2.12 - Excess Weight in Adults
2.13i - Percentage of physically active and inactive adults - active adults
2.13ii - Percentage of active and inactive adults - inactive adults
2.14 - Smoking Prevalence
2.14 - Smoking prevalence - routine & manual
2.15i - Successful completion of drug treatment - opiate users
2.15ii - Successful completion of drug treatment - non-opiate users
2.17 - Recorded diabetes
2.18 - Alcohol related admissions to hospital
2.19 - Cancer diagnosed at early stage (Experimental Statistics)
2.20i - Cancer screening coverage - breast cancer
2.20ii - Cancer screening coverage - cervical cancer
2.21vii - Access to non-cancer screening programmes - diabetic retinopathy
2.22iii - Cumulative % of the eligible population aged 40-74 offered an NHS Health Check
2.22iv - Cumulative % of the eligible population aged 40-74 offered an NHS Health Check who received an NHS Health Check
2.22v - Cumulative % of the eligible population aged 40-74 who received an NHS Health check
2.23i - Self-reported well-being - people with a low satisfaction score
2.23ii - Self-reported well-being - people with a low worthwhile score
2.23iii - Self-reported well-being - people with a low happiness score
2.23iv - Self-reported well-being - people with a high anxiety score
2.24i - Injuries due to falls in people aged 65 and over (Persons)
2.24i - Injuries due to falls in people aged 65 and over (males/females)
2.24ii - Injuries due to falls in people aged 65 and over - aged 65-79
2.24iii - Injuries due to falls in people aged 65 and over - aged 80+
3.01 - Fraction of mortality attributable to particulate air pollution
3.02i - Chlamydia screening detection rate (15-24 year olds) - Old NCSP data
3.02ii - Chlamydia screening detection rate (15-24 year olds) - CTAD
3.03i - Population vaccination coverage - Hepatitis B (1 year old)
3.03i - Population vaccination coverage - Hepatitis B (2 years old)
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (1 year old)
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (2 years old)
3.03iv - Population vaccination coverage - MenC
3.03v - Population vaccination coverage - PCV
3.03vi - Population vaccination coverage - Hib / MenC booster (2 years old)
3.03vi - Population vaccination coverage - Hib / Men C booster (5 years)
3.03vii - Population vaccination coverage - PCV booster
3.03viii - Population vaccination coverage - MMR for one dose (2 years old)
3.03ix - Population vaccination coverage - MMR for one dose (5 years old)
3.03x - Population vaccination coverage - MMR for two doses (5 years old)
3.03xii - Population vaccination coverage - HPV
3.03xiii - Population vaccination coverage - PPV
3.03xiv - Population vaccination coverage - Flu (aged 65+)
3.03xv - Population vaccination coverage - Flu (at risk individuals)
3.04 - People presenting with HIV at a late stage of infection
3.05i - Treatment completion for TB
3.05ii - Incidence of TB
3.06 - NHS organisations with a board approved sustainable development management plan
4.01 - Infant mortality
4.02 - Tooth decay in children aged 5
4.03 - Mortality rate from causes considered preventable
4.04i - Under 75 mortality rate from all cardiovascular diseases
4.04ii - Under 75 mortality rate from cardiovascular diseases considered preventable
4.05i - Under 75 mortality rate from cancer
4.05ii - Under 75 mortality rate from cancer considered preventable
4.06i - Under 75 mortality rate from liver disease
4.06ii - Under 75 mortality rate from liver disease considered preventable
4.07i - Under 75 mortality rate from respiratory disease
4.07ii - Under 75 mortality rate from respiratory disease considered preventable
4.08 - Mortality from communicable diseases
4.09 - Excess under 75 mortality rate in adults with serious mental illness
4.10 - Suicide rate
4.11 - Emergency readmissions within 30 days of discharge from hospital
4.12i - Preventable sight loss - age related macular degeneration (AMD)
4.12ii - Preventable sight loss - glaucoma
4.12iii - Preventable sight loss - diabetic eye disease
4.12iv - Preventable sight loss - sight loss certifications
4.14i - Hip fractures in

This report presents initial findings from the 2015 Learning Disability Census. Data were collected via the Health and Social Care Information Centre (HSCIC) on behalf of the Department of Health, the Care Quality Commission, Public Health England and NHS England. The Learning Disability Census provides an individual record-level snapshot of inpatients with learning disabilities, autistic spectrum disorder and/or behaviour that challenges, and the services they receive, for patients who were inpatients in NHS and independent sector services at midnight on 30 September 2015. This initial release reports at England level on key findings of the 2015 Learning Disability Census. Where possible, comparisons are made within this report between 2014 and 2013 data. The principal aim of the Learning Disability Census is to deliver action 17 in 'Transforming Care: A national response to Winterbourne View Hospital - "an audit of current services for people with challenging behaviour to take a snapshot of provision, numbers of out of area placements and lengths of stay".

Proportion of adults receiving NHS funded community mental health, learning disabilities or autism services who are in employment, expressed as a percentage, 95% confidence intervals (CI). As of the March 2020 release, the production process for this indicator has been fully automated. As a result, all data are based on the most recent mental health data set and are published for June 2016 onwards. For the historic time series of this indicator please refer to the zip files in the December 2019 publication: https://digital.nhs.uk/data-and-information/publications/statistical/ccg-outcomes-indicator-set/december-2019/ccg-outcomes-indicator-set---december-2019 Legacy unique identifier: P01864

The Adult Social Care Outcomes Framework (ASCOF) measures how well care and support services achieve the outcomes that matter most to people. The ASCOF is used both locally and nationally to set priorities for care and support, measure progress and strengthen transparency and accountability. This report focuses on the main findings for each measure in the ASCOF in 2020-21. Data are provided at council, regional and national level for each outcome. The 2020-21 ASCOF report gives a summary of the measures in the framework. The report is complemented by an interactive Power BI report, which allows users to explore the data further. The raw data used in the report are available in the accompanying csv file. Please note, in December 2021 the comparability over time documents were updated to make the change in calculation for 1J clearer. The change to the formula used is explained in the comparability over time worksheet of the time series annex and also appendix C of the Appendices.

Proportion of adults receiving NHS funded community mental health, learning disabilities or autism services who are in employment, expressed as a percentage, 95% confidence intervals (CI). October 2022: This is the last CCGOIS publication. All Clinical Commissioning Groups (CCGs) were statutorily abolished on the 1 July 2022, and from this point all statutory obligations are managed by the Integrated Care Boards (ICBs). ICBs were established as statutory bodies from July 2022 and succeed Sustainability and Transformation Partnerships (STPs). These came into effect on 1 July 2022. A transition phase has been implemented from 1 July 2022, during which the 106 Organisation Data Service (ODS) codes that identified CCGs will be temporarily retained, but the names will be changed to identify the ‘Sub ICB Location’. As of the March 2020 release, the production process for this indicator has been fully automated. As a result, all data are based on the most recent mental health data set and are published for June 2016 onwards. For the historic time series of this indicator please refer to the zip files in the December 2019 publication: https://digital.nhs.uk/data-and-information/publications/statistical/ccg-outcomes-indicator-set/december-2019/ccg-outcomes-indicator-set---december-2019 Legacy unique identifier: P01864